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Organization
SOAR MARRIAGE AND FAMILY THERAPY
Active
Organization
SOAR MARRIAGE AND FAMILY THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARTHUR DWAIN TOLBERT JR. LMFT (PRESIDENT)
(209) 601-2864
Entity
Organization
Contact information
Practice address
269 WATSON AVE, MANTECA, CA 95337-5122
(209) 679-8203
Mailing address
140 FEVERFEW ST, MANTECA, CA 95337-8622
(209) 679-8203
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
02/22/2024
Last updated
02/22/2024
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